EDGAR SAMUEL SMITH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003016

License Status

INACTIVE

Business

First Name

EDGAR

Middle

SAMUEL

Last Name

SMITH

Business Name

EDGAR SAMUEL SMITH

Original Issue Date

08/19/2008

Effective Date

08/19/2008

Expiration Date

12/31/2009

City

KANSAS CITY

State

Zip

64105

County

JACKSON

Ever Disciplined

LastModifiedDate

10/02/2009